Abstract

MINATTI, Walther R.; ROSALES, Anabela; MUGIANESI, Emiliano  and  BERTANI, Diego J.. Stoma reversal after the Hartmann’s procedure. Rev. argent. cir. [online]. 2022, vol.114, n.3, pp.225-233. ISSN 2250-639X.  http://dx.doi.org/10.25132/raac.v114.n3.1620.

Background: Background: Stoma reversal after Hartman’s operation is usually a complex procedure and is associated high morbidity. Objective: To analyze the rate of reversal after the Hartmann’s procedure and the postoperative outcomes in our experience. Material and methods: We conducted a retrospective analysis of patients undergoing reversal after the Hartmann’s procedure over a 16-year period with review of the literature and of our database and transferred the available information to a data grid constructed with variables commonly analyzed in the literature. Finally, we analyzed the results using basic measures of central tendency. Results: Over a 16-year period, we performed 92 Hartmann’s operations; 69 (75%) reached the reversal stage. Mean age was 58 years and 52% were men. Forty-eight percent of the Hartmann’s procedures were emergency surgeries and 58% were due to cancer. Mean time to reversal was 9 months and 90% (n = 62) were laparoscopic procedures. Overall morbidity and adjusted for complications grade III and IV of the Clavien-Dindo classification were 38% and 11.5%, respectively. None of the patients died. Conclusion: The results obtained are similar to those published and our experience motivates us to continue choosing the laparoscopic approach.

Keywords : Hartmann’s reversal; Laparoscopic surgery; Colorectal surgery; Colostomies; Hartmann’s procedure; Colorectal cancer; Diverticulitis.